IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients

Rett syndrome (RTT) is a devastating neurodevelopmental disorder that affects one in ten thousand girls and has no cure. The majority of RTT patients display mutations in the gene that codes for the methyl-CpG-binding protein 2 (MeCP2). Clinical observations and neurobiological analysis of mouse mod...

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Main Authors: Pini, Giorgio, Scusa, Maria Flora, Congiu, Laura, Benincasa, Alberto, Morescalchi, Paolina, Bottiglioni, Ilaria, Di Marco, Pietro, Borelli, Paolo, Bonuccelli, Ubaldo, Della-Chiesa, Andrea, Prina-Mello, Adriele, Tropea, Daniela
Other Authors: Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Format: Article
Language:English
Published: Hindawi Publishing Corporation 2015
Online Access:http://hdl.handle.net/1721.1/96244
https://orcid.org/0000-0001-9730-6636
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author Pini, Giorgio
Scusa, Maria Flora
Congiu, Laura
Benincasa, Alberto
Morescalchi, Paolina
Bottiglioni, Ilaria
Di Marco, Pietro
Borelli, Paolo
Bonuccelli, Ubaldo
Della-Chiesa, Andrea
Prina-Mello, Adriele
Tropea, Daniela
author2 Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
author_facet Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Pini, Giorgio
Scusa, Maria Flora
Congiu, Laura
Benincasa, Alberto
Morescalchi, Paolina
Bottiglioni, Ilaria
Di Marco, Pietro
Borelli, Paolo
Bonuccelli, Ubaldo
Della-Chiesa, Andrea
Prina-Mello, Adriele
Tropea, Daniela
author_sort Pini, Giorgio
collection MIT
description Rett syndrome (RTT) is a devastating neurodevelopmental disorder that affects one in ten thousand girls and has no cure. The majority of RTT patients display mutations in the gene that codes for the methyl-CpG-binding protein 2 (MeCP2). Clinical observations and neurobiological analysis of mouse models suggest that defects in the expression of MeCP2 protein compromise the development of the central nervous system, especially synaptic and circuit maturation. Thus, agents that promote brain development and synaptic function, such as insulin-like growth factor 1 (IGF1), are good candidates for ameliorating the symptoms of RTT. IGF1 and its active peptide, (1–3) IGF1, cross the blood brain barrier, and (1–3) IGF1 ameliorates the symptoms of RTT in a mouse model of the disease; therefore they are ideal treatments for neurodevelopmental disorders, including RTT. We performed a pilot study to establish whether there are major risks associated with IGF1 administration in RTT patients. Six young girls with classic RTT received IGF1 subcutaneous injections twice a day for six months, and they were regularly monitored by their primary care physicians and by the unit for RTT in Versilia Hospital (Italy). This study shows that there are no risks associated with IGF1 administration.
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spelling mit-1721.1/962442022-09-29T10:57:56Z IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients Pini, Giorgio Scusa, Maria Flora Congiu, Laura Benincasa, Alberto Morescalchi, Paolina Bottiglioni, Ilaria Di Marco, Pietro Borelli, Paolo Bonuccelli, Ubaldo Della-Chiesa, Andrea Prina-Mello, Adriele Tropea, Daniela Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences Picower Institute for Learning and Memory Tropea, Daniela Rett syndrome (RTT) is a devastating neurodevelopmental disorder that affects one in ten thousand girls and has no cure. The majority of RTT patients display mutations in the gene that codes for the methyl-CpG-binding protein 2 (MeCP2). Clinical observations and neurobiological analysis of mouse models suggest that defects in the expression of MeCP2 protein compromise the development of the central nervous system, especially synaptic and circuit maturation. Thus, agents that promote brain development and synaptic function, such as insulin-like growth factor 1 (IGF1), are good candidates for ameliorating the symptoms of RTT. IGF1 and its active peptide, (1–3) IGF1, cross the blood brain barrier, and (1–3) IGF1 ameliorates the symptoms of RTT in a mouse model of the disease; therefore they are ideal treatments for neurodevelopmental disorders, including RTT. We performed a pilot study to establish whether there are major risks associated with IGF1 administration in RTT patients. Six young girls with classic RTT received IGF1 subcutaneous injections twice a day for six months, and they were regularly monitored by their primary care physicians and by the unit for RTT in Versilia Hospital (Italy). This study shows that there are no risks associated with IGF1 administration. Region Tuscany ASL12 Viareggio TIAMO Foundation SFI08/IN.1/B1916 Marie Curie IRG (248284) 2015-03-30T15:31:06Z 2015-03-30T15:31:06Z 2012 2012-02 2015-03-26T09:14:52Z Article http://purl.org/eprint/type/JournalArticle 2090-1925 2090-1933 http://hdl.handle.net/1721.1/96244 Pini, Giorgio, Maria Flora Scusa, Laura Congiu, Alberto Benincasa, Paolina Morescalchi, Ilaria Bottiglioni, Pietro Di Marco, et al. “IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients.” Autism Research and Treatment 2012 (2012): 1–14. https://orcid.org/0000-0001-9730-6636 en http://dx.doi.org/10.1155/2012/679801 Autism Research and Treatment Creative Commons Attribution http://creativecommons.org/licenses/by/2.0 Copyright © 2012 Giorgio Pini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. application/pdf Hindawi Publishing Corporation Hindawi Publishing Corporation
spellingShingle Pini, Giorgio
Scusa, Maria Flora
Congiu, Laura
Benincasa, Alberto
Morescalchi, Paolina
Bottiglioni, Ilaria
Di Marco, Pietro
Borelli, Paolo
Bonuccelli, Ubaldo
Della-Chiesa, Andrea
Prina-Mello, Adriele
Tropea, Daniela
IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients
title IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients
title_full IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients
title_fullStr IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients
title_full_unstemmed IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients
title_short IGF1 as a Potential Treatment for Rett Syndrome: Safety Assessment in Six Rett Patients
title_sort igf1 as a potential treatment for rett syndrome safety assessment in six rett patients
url http://hdl.handle.net/1721.1/96244
https://orcid.org/0000-0001-9730-6636
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